Kimberly Jo Callow, RDN, IBCLC is a medicare enrolled "Dietitian, Registered" provider in Queen Creek, Arizona. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Am Nutrition Services and her current practice location is
3203 W Goldmine Mountain Cv, Queen Creek, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 232-0246.
Kimberly Jo Callow is licensed to practice in Arizona (license number 86115695) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770201931.
Healthcare Provider's Profile
| Full Name | Kimberly Jo Callow |
|---|
| Gender | Female |
|---|
| Speciality | Registered Dietitian Or Nutrition Professional |
|---|
| Experience | 11 Years |
|---|
| Location | 3203 W Goldmine Mountain Cv, Queen Creek, Arizona |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Kimberly Jo Callow graduated from medical school in 2015
NPI Data:
- NPI Number: 1770201931
- Provider Enumeration Date: 08/15/2022
- Last Update Date: 03/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 5294270575
- Enrollment ID: I20240710004876
Medical Identifiers
Medical identifiers for Kimberly Jo Callow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770201931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 86115695 (Arizona) | Primary |
| 174N00000X | Lactation Consultant, Non-rn | L-163757 (Arizona) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Am Nutrition Services | 1254430580 | 48 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Jo Callow allows following entities to bill medicare on her behalf.
| Provider Name | Am Nutrition Services |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1003011602
PECOS PAC ID: 1254430580
Enrollment ID: O20070627000063 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Jo Callow is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Jo Callow, RDN, IBCLC
3203 W Goldmine Mountain Cv,
Queen Creek, AZ 85144-3063
Ph: (480) 232-0246 | Kimberly Jo Callow, RDN, IBCLC
3203 W Goldmine Mountain Cv,
Queen Creek, AZ 85144-3063
Ph: (480) 232-0246 |
Reviews and Comments